Association Between Burnout and Intention to Emigrate in Peruvian health-care Workers

Anduaga-Beramendi, Alexander; Beas, Renato; Maticorena-Quevedo, Jesús; Mayta‐Tristán, Percy

doi:10.1016/j.shaw.2018.08.004

Cited by 9 publications

(12 citation statements)

References 38 publications

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“…It is supported by the findings of earlier research on correlates of physician burnout across global regions [26] and the twin problem of physician exodus and the prevailing environment of healthcare in Nigeria. The current wave of physician exodus in Nigeria also supports our burnout prevalence as several researchers have reported a remarkable association between burnout among physicians and the intention to emigrate [41,42].…”

Section: Discussionsupporting

confidence: 84%

Physician burnout in Nigeria: a multicentre, cross-sectional study

Nwosu¹,

Ossai

Uwakwe³

et al. 2020

BMC Health Serv Res

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Background Healthcare workers are a burnout-prone occupational group and the prevalence is particularly high among physicians. With the prevailing low physician-patient ratio in Nigeria which has worsened with the recent wave of physician emigration, among other socio-economic constraints; a setting for high physician burnout may have been nurtured. Our survey set out to determine the prevalence of burnout among physicians practicing in Nigeria, ascertain the factors that were associated with the development of burnout and evaluate the respondents’ perceived impact of physician burnout on patient safety. Methods We used the Oldenburg burnout inventory as the measurement tool for burnout in the cross-sectional study conducted between November and December, 2019 among physicians in five tertiary health institutions in Nigeria. A 5- point Likert-type scale was used to evaluate the participants rating of their perceived impact of physician burnout on patient safety. Data entry and analysis were done using IBM Statistical package for social sciences software version 25 and the level of statistical significance was determined by a p value < 0.05. Results The response rate was 61% (535/871), and burnout prevalence was 75.5% (404/535). Majority of the physicians (74.6%) perceive that physician burnout could impact patient safety. Physicians’ professional grade, age and years in practice, but not specialty, gender or marital status were associated with the exhaustion domain, whereas only the physicians’ age was associated with the disengagement domain of burnout. No socio-demographic or work-related characteristics determined overall burnout in our respondents. Conclusion Physician burnout in Nigeria is high and pervasive, and this should alert physicians to be wary of their general and mental health status. Public health policy should address this development which has implications for patient safety, physician safety and healthcare system performance.

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Section: Discussionsupporting

confidence: 84%

Physician burnout in Nigeria: a multicentre, cross-sectional study

Nwosu¹,

Ossai

Uwakwe³

et al. 2020

BMC Health Serv Res

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“…Assessment of productivity could also address whether some of the personal time observed might have indirect positive effects by improving team functioning or job satisfaction. Previous research has linked longer work hours to lower satisfaction with work-life balance and found that intention to emigrate from Peru was higher among providers showing signs of burn-out syndrome [ 39 , 40 ]. Policies intending to enhance health system productivity in Lima should take account of the current productive time, considering the non-negligible incidence of unscheduled absenteeism and the frequency of early departures from shifts, and the uneven use of scheduled shifts for personal time.…”

Section: Discussionmentioning

confidence: 99%

Health care provider time in public primary care facilities in Lima, Peru: a cross-sectional time motion study

Leslie

Laos

Cárcamo

et al. 2021

BMC Health Serv Res

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Background In Peru, a majority of individuals bypass primary care facilities even for routine services. Efforts to strengthen primary care must be informed by understanding of current practice. We conducted a time motion assessment in primary care facilities in Lima with the goals of assessing the feasibility of this method in an urban health care setting in Latin America and of providing policy makers with empirical evidence on the use of health care provider time in primary care. Methods This cross-sectional continuous observation time motion study took place from July – September 2019. We used two-stage sampling to draw a sample of shifts for doctors, nurses, and midwives in primary health facilities and applied the Work Observation Method by Activity Timing tool to capture type and duration of provider activities over a 6-h shift. We summarized time spent on patient care, paper and electronic record-keeping, and non-work (personal and inactive) activities across provider cadres. Observations are weighted by inverse probability of selection. Results Two hundred seventy-five providers were sampled from 60 facilities; 20% could not be observed due to provider absence (2% schedule error, 8% schedule change, 10% failure to appear). One hundred seventy-four of the 220 identified providers consented (79.1%) and were observed for a total of 898 h of provider time comprising 30,312 unique tasks. Outpatient shifts included substantial time on patient interaction (110, 82, and 130 min for doctors, nurses, and midwives respectively) and on paper records (132, 97, and 141 min) on average. Across all shifts, 1 in 6 h was spent inactive or on personal activities. Two thirds of midwives used computers compared to half of nurses and one third of doctors. Conclusions The time motion study is a feasible method to capture primary care operations in Latin American countries and inform health system strengthening. In the case of Lima, absenteeism undermines health worker availability in primary care facilities, and inactive time further erodes health workforce availability. Productive time is divided between patient-facing activities and a substantial burden of paper-based record keeping for clinical and administrative purposes. Electronic health records remain incompletely integrated within routine care, particularly beyond midwifery.

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“…Data were obtained using a questionnaire form and Job Satisfaction Scale. The "Questionnaire Form Regarding the Opinions of Assistant Physicians on Brain Drain" was developed by the researchers by examining the relevant literature (5,10,12,14,17) and taking expert opinion. With this form, data as regards the participants' desire for attending a medical specialty program abroad, the country they want to attend that program, the reasons for attending such a program, information about their post-training plans and their desire to work abroad, the country they want to work in and the reasons for working abroad were collected.…”

Section: Intention To Study Abroadmentioning

confidence: 99%

“…The brain drain of highly qualified physician labor force is a loss of economic, social, and cultural resources for relevant countries. The migration of health workers, which has significant negative effects on health systems, is an increasingly debated issue (5,6). This migration, which is claimed to have reached a worrying level, has become a global health problem (7,8).…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Brain Drain Among Resident Physicians in Turkey

UĞUR¹,

Uğur²

2022

STED / Sürekli Tıp Eğitimi Dergisi

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Background: One of the biggest losses with regard to the education costs is the brain drain seen among resident physicians, who are a part of the qualified labor force. Brain drain has at the same time a rather adverse effect on the health systems. Difficulties in the education and working conditions of resident physicians may lead to brain drain. Aim: The present study aimed to compare the intent of brain drain in resident physicians by a range of variables (age, gender, marital status, dependents, socio-economic status, professional experience, and job satisfaction) and to investigate the reasons for their intention to migrate. Study Design: Descriptive study. Method: A total of 161 resident physicians working in university and state hospitals in Ankara city center were included in the study. The research data were collected using the questionnaire about the views of resident physicians on brain drain and the Minnesota Job Satisfaction Scale. Results: More than half of the resident physicians participating in the study desired to attend to medical specialty programs abroad (83/161, 51,6%) and to work abroad (89/161, 55,3%). Germany, United States of America, England, and Canada were the most frequently preferred countries for education and employment opportunities. There was a statistically significant relationship between specialty education abroad and gender (p=0.016) and socio-economic status (p=0.016). While one of the main reasons for attending a medical specialty program abroad is that the education conditions abroad are better, the main reason for the desire to work abroad is the better working and living conditions. Conclusion: More than half of resident physicians in Turkey, want to attend a medical specialty program abroad and work abroad for better education, employment, and living conditions. This poses a great risk for educational costs.

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Association Between Burnout and Intention to Emigrate in Peruvian health-care Workers

Cited by 9 publications

References 38 publications

Physician burnout in Nigeria: a multicentre, cross-sectional study

Physician burnout in Nigeria: a multicentre, cross-sectional study

Health care provider time in public primary care facilities in Lima, Peru: a cross-sectional time motion study

Factors Influencing Brain Drain Among Resident Physicians in Turkey

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